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��,Y�����'�',.y�c""��+�'�' �a `.� u -,t °�j3kp � d '�' � rt k �`�d�e� ��"� yy�h�,` ���'-�" ,� .. ,�� "���,� �,� <br /> �S 6 w �h�., 1 �'3 Y Y '�b R G-v S'. / Y <br /> } �"� Y '�R�a.. �'s'v r i �"S� ��i� f� "�V� ''�'�_ 3�� t °fi g'rL�'�,x x h tii'k�'� r>. , <br /> � r<.a,�a �w ��e 5 �'�Y 7�� 4 �1h ,� ` b ..��,�-����� � , ^� y-. , +�s`� y��� <br /> \� ,� �,S�+* .c <br /> ... ^ . -�• .�.:��--.. �,� �r� .'�, t , .�;.. Y � ,*30'����'�e�����..,. r � .�, <br /> t � � <br /> .� � ��- - � e�. � �.. <br /> ' �'� ... , .,. �"..z, s .a�32 .x �� '3u � '+Y.�t,m�` �+ , .,..,_. ,.,... ,:.. ..,....s_.. ._,..�...�,. , ,•.,.,... � <br /> � - � <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> � s nG c x .0125 $ <br /> �� <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> ;; or $.50, whichever is greater <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, <br /> tenant or any other party the reasonable mazket value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> ; conect. _ . _._. <br /> ,°`�� <br /> Applicant's Signature: Date: � � � ( � � <br /> �';_�� <br /> � <br /> ���" <br /> -R M <br /> � `�t � <br /> �4 = <br /> � il.2'�� F" � #. ..-f <br /> ��- <br /> '1 "�,€`y }3 ���' - �1 <br /> _,�`� �, 5�„��w-<� � <br /> �� v.i <br /> n n � a <br /> Z ,� <br /> � <br /> '��'� �J%�� 4 ¢ �- y <br /> . ��1���d ��f�� � �' �'.c�a' <br /> �. "'a. '"`c+.`.�'°��r���a��'�,,�y,� S '#� ��;�.�,�€ x��°�i" � ��l" .:`F � �+�'fi�a. *j � ��"�, �>�'t - 't <br /> ��'t-,.�s''_�".. .. . .. �. a...., . . �... ..�:.c ?..�� ��,.e � ;,�� , M _ �,+.'.',.s 'H5 �. .. �.. .,��:� S Sr.:-.s �':i-. +.�v*.'&'�}��,�.� r.�^„_::+�d S4*��E� . 3.u.,^�"'-�3:��"�rc� � _ . ._,- W <br />